NeuroLog User Manual - American Board of Neurological Surgery
Contents
1. Candidate Workflow Queries Type in Query Text regarding the case in review Selecting Save Query will post your response to the report Query Breakdown Report number ge ener a Compirs sna ajor Daath Cena Cranial Procedures Wadouiir Pematomre dn T rT Dene Tyne in Query Tet Tyt in Query peaotbon Seal epid ma Pending thee capt im iiia Chae Vecu Hemer hage CPT Coast iilii uroy emri i Gran dest m raparenchymal on peop day wii if patent fer heart fadure and hed a veniicular asad devion implanted i pA Sai ain Resa wrge CH eer CT Tami demanded evacuation ORE Poe SOMGREM Ea u Or toriaded fo bran deem Gn eat ap clay 1 You may add edit your query resolution prior to submitting back to the Reviewer After you have completed answering all queries select the Submit to Reviewer button for submission back to the ABNS Office Upon successful submission you will see the following pop up message appear Microsoft Internet Explorer The responses have been successfully submitted for review and the ABNS has been notified You will be notified by email when the review of responses has been completed You will also receive the following confirmation email Dear Candidate r you have successfully submitted your query responses to the ABNS Please wait to hear from the ABNS regarding your final evaluation Thank you2. change your password at any time and or review your account information The Case Log Submission Tab may be used to submit data to the ABNS Office for review Please note after data is submitted to the ABNS Office you will no longer have access to your CRFs Please update any data and or print off any case forms prior to submitting to the ABNS Office Case Log Submission Case Log Submission Please enter the start and end date for the range of cases you would like to submit for review The case operation date is used as the range delimiter The ABNS will be notified that cases have been submitted and they will assign a reviewer to the cases You will be notified via email when the review is complete Start Date N M Fess EndDate h hf Submission of Cases e In order for you to submit data to the ABNS it must fall into the following criteria o Atleast 150 complete CRFs o Operation dates on CRFs must not span over 18 months o Operation date on first case cannot be greater than two 2 years old 1 Enter the earliest Operation Date for CRFs you would like to submit in the Start Date field 2 Enter the latest Operation Date for CRFs you would like to submit in the End Date field 3 Select the Submit Cases button Case Log Submission 1 Confirm Email Address 2 Provide a Short Practice Description 3 Print a Hospital Verification Form only required for initial submission 4 Print a L
3. The American Board of Neurological Surgery Member Board of the American Board of Medical Specialties NeuroLog Candidate Practice Data Entry Manual Introduction Congratulations on beginning the American Board of Neurological Surgery Certification Process The purpose of this manual is to assist you in your entry of your practice data into the NeuroLog database for assessment by the ABNS in your progress towards the oral examination and eventual board certification in Neurological Surgery Practice data is only one component of the application process Upon completion of your practice data be sure to submit the remainder of the application packet to the ABNS office System Requirements NeuroLog works best on PCs with Internet Explorer browsers You will likely encounter system problems when using a MAC or alternate browsers Data Requirements If any of the data requirements are not met your data will be returned to you The requirements for completion of your candidate practice data set and review of the data follow e 150 consecutive major operative cases collected over a period of not more than 18 months must be submitted o Include a minimum of 3 months follow up on every case o Include all in patients for whom you were the responsible physician or surgeon Cranial Spinal Peripheral Nerve Endovascular Other o Include all outpatient surgeries Do NOT include operative assists and consults o Do NOT include minor p
4. age Wound or intraparenchymal hematoma requiring surgical or medical treatment Infection such as wound or pneumonia Wound dehiscence DVT pulmonary embolism or other thrombotic event CSF leak Dural tear Myocardial infarction e Minor complications are any events that do not meet the definition above of major complications for example o Increased pain without objective findings not requiring readmission or reoperation o IV site phlebitis not requiring prolonged treatment O O O O O O OOOO Submission Once you have input all your cases you will need to submit your entire Case Log however once you submit your data for review you will no longer have access to it except for questions posed by the reviewer Thus prior to submission you must print the Hospital Verification Form and the list of cases being submitted When selecting your submission dates bear in mind that there must be a case entered on both your beginning and ending dates Queries During the initial review of your data by the ABNS questions may arise concerning all or certain cases These can be resolved by responding to specific queries that will by posted by the Board on your data set web pages You must answer all the queries to the satisfaction of the reviewer before the process is considered complete Questions The ABNS Directors wish you every success in your final steps toward certification If you have any questions or concerns about this process ple
5. ase call or e mail the Board at 245 Amity Road Suite 208 Woodbridge Connecticut 06525 PH 203 397 2267 FAX 203 392 0400 abns abns org Procedures for NeuroLog Data Entry Commonly Used Abbreviations Case Report Form Electronic Data Capture URL Uniform Resource Locator 1 e web address As you read notice particularly the sentences with asterisks So let s begin Search Grid New CRF link e First open a web browser ex Internet Explorer and type https www abns neurolog org by typing it in the Address bar Be sure to enter it in the Address bar and not a Search bar Your web browser will open the NeuroLog login page In order to access the EDC electronic data capture system you must always enter your username and password on this page Note your username and passwords are case sensitive i The American Board of Neurological Surgery Member Board of The American Board of Medica Aprons NeuroLog Upon login you will view the Data Entry tab Help Tools Camat Practice Daia Heip User Marua Gei Prin 4 Search Hide Advanced Search Completermes F Al forma Ch complete C incemplete Queries sires C Open Queries DetoRestricton tories A No t tt i Patient Last Name o palisi tiranan 0 Hospital w Lani Hamas The Search Grid options and filters allow you to search for records previously saved in the system You can hide the Advanced Search opti
6. e reg pd ma e After all data entry is complete please check the Complete Form checkbox and select the Submit button to save all data Exiting the CRF without selecting Submit will result in all data being lost d Complete Form Check to mark this form as complete d Frint after sawing Submit e You will be taken back to the Data Entry tab where you can view all the CRF entries in ascending Operation Date order e To re access any previously submitted data select the Operation Date link under the Practice Data column e Ifyou have incorrectly entered a form select the delete link next to the corresponding CRF you would like to remove p oe E ai _ a et f Data Entry Practice Data Help User Manual Get Printable CRFS e The Download Tab may be used to export all the data into a spreadsheet file For further instructions on how to use it please access the Data Download Tool Help file under the Download tab The Reports Tab may be used to review all Candidate data in Procedural categories Site Level Reports Primary Procedure Category Summary by Adult Pediatric Provides a summary of number of procedures performed by a candidate Primary Secondary Procedure Category Summary Provides a summary of number of secondary procedures performed by a candidate Case Count By Category Provides a count and percentage of cases by procedure class The My Account Tab may be used to
7. ist Of Cases Being Submitted Print Case List 5 Complete Case Submission e You will be asked to confirm your email address so that you may be notified in the future Please confirm that the email address is correct e You must enter a short practice description in the space provided You will be limited to 500 characters Do not include any identifying information such as names of individuals or hospitals e You must select the Print Form button to access the Hospital Verification Form This form must be completed and sent to the ABNS Office to be added to your Candidate file e Next select the Print Case List button This will print the list of cases you have submitted to the ABNS Office for review e Once you have completed all steps you will be prompted to Complete Case Submission If all data entry is complete please select the Complete Case Submission button and await further direction from the ABNS Office e Upon successful data submission you will receive the response The page at https test abns neurolog org says The responses have been successfully submitted for review and the ABNS has been notified You will be notified by email when the review of responses has been completed Also you will be taken to the following screen while the assigned Reviewer reviews your data Query Breakdown Report Your data is currently being reviewed by the ABNS e You will then receive the following e
8. mail indicating that your data has been received Candidate i your case list has successfully been submitted to the ABNS You must now have he Hospital Verification Form signed by each hospital in your case list Your case list will NOT reviewed until that is received in the ABNS office with your case logs attached to each form Thank you Query Response Resolution e When the assigned Reviewer has completed the initial review of data you may receive the following email Dear Candidate the ABNS has finished commenting on your case list Please review your cases and respond accordingly All cases with queries posted will appear in your patient grid Thank you Do not try to respond to this email e You may now re enter the database to respond to any query postings e Upon login you will see the following report Reviewer query Query Breakdown Report Corpkeatesers Majer Daath Death Grihl Procedure Wag cular Pematoma Mon Trauma OR Cranial vWaamaar Hemernage OFT Cadeia 61317 489 erpytiand fa bain diraih en Type im Query Tet regaining re niragarenctymal powi ng day i ihe case review ee ane ti hA tikuna bad MeF a teil Bed eye ce ee OT giari sep hepar large EH pee CT limiy demcded evecuslion DETTATI prpap g br pinn genih sn Oop ay 1 e Select the Add Edit Response to enter your resolution answer Type your response into the Candidate Response window A Ad hoc Queries Web Page Dialog
9. o be resubmitted e Complications if any e Outcomes at each of the following time points o Immediate outcome immediately following the procedure o Early outcome less than 30 days following the procedure o Late outcome greater than 90 days following the procedure All candidate comments must conform to the following requirements e Concise e Narrative e Readable e Relevant They should not e Be extracts from correspondence chart notes other dictation e Refer to your hospital or other hospitals by name nor to colleagues or referring physicians Complications The NeuroLog glossary explains postoperative complications as follows Were there any surgical complications peri operative morbidity or death This includes expected and unexpected adverse events during the surgical procedure through the first post discharge follow up visit and up to 30 days later In general any postoperative or post treatment event or condition that required some treatment or intervention should be noted as a complication in the summary along with some indication of how it was treated As a further guideline to the definition of complication any adverse event that happened within 30 days of Surgery is usually attributed to the surgery e Major complications o Any complication that Delays discharge Requires a reoperation no matter how minor e g lumbar CSF drain Requires re admission an unexpected neurologic deficit Stroke Hemorrh
10. ons everything but the Medical Record Number if you do not need them The legend identifies the status of each form in the Patient Grid You can see at a glance which forms have been entered and what data entry remains to be entered This is useful in determining which case report forms CRFs require further work prior to submitting data e From the Data Entry tab you may enter patient data by selecting Enter New Patient A CRF will open in the same window MM DD YYYY Male Female MM DD YYYY f Diagnostic Studies C None C X ray C CT Scan C MR Scan C Angiography C EEG C EMG C isotope Scan C Lumbar Puncture _ Duplex Ultrasonography C Myelography C PET Scan C SPECT Scan _ Tcb C Other e Using the Errors and Warnings window will assist in completing the CRFs following critical errors will prevent sawing the form unless corrected Operation Date Required field please enter a value 1e following errors will prevent saving the form as complete Patient Last Name Patient Last Name is required to complete the form please enter a value reg pd piiastname Contact Us Logout Patient First Name Patient First Name is required to complete the form please enter a value req_po_otfirsiname Hospital S Hospital is required to complete the form please enter a value reg og hospital Medical Record Number Medical Record Number is required to complete the form please enter a valu
11. rocedures within NeuroLog Instead keep a separate log of minor procedures in a spreadsheet i e Excel o Do NOT include any cases collected during a fellowship even if the cases are not related to the fellowship o Do NOT include cases that will be more than 2 years old at the time of submission O The NeuroLog program requires the following in order to complete the data entry satisfactorily for each case Patient information Clinical diagnosis Diagnostic studies Operation CPT codes All submitted cases must have e A minimum follow up of 90 days Exceptions would be o Death within the follow up interval o Lost to follow up in which case you must explain why this happened and what you did to attempt a follow up e One procedure from Procedure Class 1 and one from Procedure Class 2 under the heading Operation as a minimum Write a narrative comment in each of the following text box fields e Clinical and Operative Summary This should give the reviewer a clear picture of the clinical scenario and the facts relevant to clinical decisions including the decision for surgery if any was performed If the data presented in any case is inadequate for the reviewer to understand both the thought process involved and surgical procedures performed the data is incomplete You will then be queried on the case If the reviewer finds that the clinical history and surgical details are inadequate overall the entire data will need t
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